MEDICARE: KATHRYN KELLY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1316268766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN KELLY

Provider Business Mailing Address
First Line	:	125 N ELM ST
Second Line	:
City	:	WESTFIELD
State	:	MA
Zip	:	01085-1643
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8 KILBURN ST
Second Line	:
City	:	NEW BEDFORD
State	:	MA
Zip	:	02740-7321
Country	:	US
Telephone Number	:	508-979-1122
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2010
Last Update Date	:	06/10/2014

Similar Medicare Providers

1346221660 — JUDITH HERTANU MD
Practice Location Address:

10 UNION SQ E , BETH ISRAEL MED CTR- DEPT OF REHAB MEDICARE
NEW YORK, NY
10003-3314

Practice Phone: 212-420-2757
Practice Fax:

1518996354 — HIGH POINT TREATMENT CENTER INC.
Practice Location Address:

72 KILBURN ST
NEW BEDFORD, MA
02740-7321

Practice Phone: 774-628-1033
Practice Fax: 508-997-0765

1982778023 — KAREN VERNEN-THOMPSON LICSW
Practice Location Address:

70 KILBURN ST
NEW BEDFORD, MA
02740-7321

Practice Phone: 508-984-1697
Practice Fax: 508-984-1694

1568586782 — WENDY BLUIS CAC
Practice Location Address:

72 KILBURN ST
NEW BEDFORD, MA
02740-7321

Practice Phone: 508-991-7487
Practice Fax: 508-991-7487

1235351677 — AMY C THOMAS ANP
Practice Location Address:

8 KILBURN ST
NEW BEDFORD, MA
02740-7321

Practice Phone: 508-979-1122
Practice Fax:

1730415001 — MELANIE JUNE CROWLEY LICSW, LADC
Practice Location Address:

8 KILBURN ST
NEW BEDFORD, MA
02740-7321

Practice Phone: 508-979-1122
Practice Fax: 508-979-1126

Directions to “ KATHRYN KELLY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.